JP4756655B2 - Surgical drape and its parts - Google Patents
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- JP4756655B2 JP4756655B2 JP2008032468A JP2008032468A JP4756655B2 JP 4756655 B2 JP4756655 B2 JP 4756655B2 JP 2008032468 A JP2008032468 A JP 2008032468A JP 2008032468 A JP2008032468 A JP 2008032468A JP 4756655 B2 JP4756655 B2 JP 4756655B2
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本発明は、手術時に被手術者（患者）を覆うための手術用ドレープおよびその部品に関し、例えば、洗濯（ドライクリーニング等含む）が可能な素材からなる基布と、ディスポーザブルの受水袋と、を備える手術用ドレープおよびその部品に関する。 The present invention relates to a surgical drape and its parts for covering a patient (patient) at the time of surgery, for example, a base fabric made of a material that can be washed (including dry cleaning), a disposable water receiving bag, The present invention relates to a surgical drape and a part thereof.
手術用ドレープは、手術の際に飛散する血液、体液等をバリア等するため患者に被せられるものである。手術用ドレープで術野以外の部分をドレープで覆うことにより手術時において術野が清潔に保たれている。患者の手術箇所には基布開口部が設けられており、術野の確保がはかられている。手術用ドレープは、滅菌された状態で折り畳まれ、パウチ袋などに封入されて医療現場に納品される。 A surgical drape is placed on a patient in order to provide a barrier or the like for blood, body fluids, etc. scattered during surgery. The surgical field is kept clean during the operation by covering the part other than the surgical field with the drape. A base cloth opening is provided at the surgical site of the patient to secure the surgical field. The surgical drape is folded in a sterilized state, enclosed in a pouch bag or the like, and delivered to the medical site.
ところで、医療分野において、院内感染防止、コスト削減等の観点から、使い捨てが可能な不織布からなる製品が急速に普及してきている。手術用ドレープも例外ではなく、例えば、ポリエチレンやポリプロピレン系重合体を原料とする不織布が用いられる。不織布を用いた手術用ドレープは使い捨てであり、血液や体液等が付着したものは感染性産業廃棄物として処分される。焼却しても悪臭・有毒ガスが発生しない素材による不織布も提言されている（特許文献１参照）。 By the way, in the medical field, from the viewpoint of hospital infection prevention, cost reduction, and the like, products made of disposable non-woven fabric are rapidly spreading. Surgical drape is no exception, and for example, a nonwoven fabric made of polyethylene or polypropylene polymer is used. Surgical drapes using non-woven fabric are disposable, and those with blood or body fluids attached to them are disposed of as infectious industrial waste. A non-woven fabric made of a material that does not generate malodor or toxic gas even when incinerated has been proposed (see Patent Document 1).
患者の手術箇所から血液、体液が多量に流出する手術、或いは生理食塩水を多量に使用する手術（例えば、婦人科の帝王切開手術や脳外科手術）を行う場合、基布開口部から流出した多量の液体が床に溢れないようにする必要がある。そこで、この種の手術で用いられる手術用ドレープには、上記の液体等を受ける袋（以下、「受水袋」という場合がある。）が設けられている。受水袋を具備する手術用ドレープに関しては、次の先行技術文献がある。 A large amount of blood or body fluid that has flowed out from the opening of the base fabric when performing surgery that causes a large amount of blood or body fluid to flow out of the patient's surgical site, or surgery that uses a large amount of physiological saline (eg, cesarean section surgery or brain surgery in gynecology) It is necessary to prevent the liquid from overflowing into the floor. Therefore, a surgical drape used in this type of surgery is provided with a bag for receiving the liquid or the like (hereinafter also referred to as “water receiving bag”). Regarding the surgical drape having a water-receiving bag, there are the following prior art documents.
特許文献２には、患者の全身を覆い得る程度の大きさを有する基布と、患者の切開箇所を露出させるために前記基布に設けられた基布開窓部と、血液、体液、生理食塩水等の液体を受水するため前記基布開窓部上に備えられた受水袋と、から構成され、前記受水袋は、立体的形状と平面的形状とに形状可変に構成されていることを特徴とする受水袋付き医療用ドレープが開示されている。 Patent Document 2 discloses a base cloth having a size that can cover the whole body of a patient, a base cloth fenestration provided in the base cloth to expose the incised portion of the patient, blood, body fluid, and physiological A water receiving bag provided on the base cloth opening portion for receiving a liquid such as a saline solution, and the water receiving bag is configured to have a three-dimensional shape and a planar shape. A medical drape with a water-receiving bag is disclosed.
特許文献３および４には、両面テープ等により受水袋の取り付け位置が調整可能な手術用ドレープが開示されている。 Patent Documents 3 and 4 disclose a surgical drape in which the attachment position of the water-receiving bag can be adjusted with a double-sided tape or the like.
従来の手術用ドレープは、特許文献２や図１に示すように、受水袋７と基布２が一体的に構成されており、基布を含む全ての部品が使い捨ての製品（ディスポーザブル製品）であった。ここで、基布は患者の全身を覆うものであり、非常に大きいため、医療廃棄物の処理コストが嵩むという課題があった。なお、特許文献３および４には受水袋の取り付け位置を調整可能とする構成が開示されているが、医療廃棄物の課題に関する言及は全くなく、部分ディスポーザブルの動機付けとなる記載もない。 In conventional surgical drapes, as shown in Patent Document 2 and FIG. 1, a water-receiving bag 7 and a base fabric 2 are integrally configured, and all parts including the base fabric are disposable products (disposable products). Met. Here, since the base fabric covers the whole body of the patient and is very large, there has been a problem that the cost for treating medical waste increases. In addition, although the structure which enables adjustment of the attachment position of a water receiving bag is disclosed by patent documents 3 and 4, there is no reference regarding the subject of a medical waste, and there is no description which becomes motivation of a partial disposable.
また、手術用ドレープは、手術室で着用される製品であることから、短時間で容易に取り付けられることは不可欠である。この点、特許文献３および４に記載の手術用ドレープは、受水袋を任意の場所に貼付可能とするために両面テープを使用しているが、粘着部分が医療器具や術衣等に付いたり、取り付け位置の調整に時間がかかるという課題がある。 Further, since the surgical drape is a product worn in the operating room, it is indispensable to be easily attached in a short time. In this respect, the surgical drapes described in Patent Documents 3 and 4 use double-sided tape to allow the water-receiving bag to be attached to any place, but the adhesive portion is attached to a medical instrument or surgical clothing. There is a problem that it takes time to adjust the mounting position.
上記課題を鑑み、本発明は、医療廃棄物を削減することができ、且つ、取り付け容易性に優れた手術用ドレープを提供することを目的とする。 In view of the above problems, an object of the present invention is to provide a surgical drape that can reduce medical waste and is excellent in ease of attachment.
第１の発明は、被手術者を覆うための基布と、受水袋と、を備える手術用ドレープにおいて、基布を洗濯可能な素材で構成し、基布に受水袋を着脱自在に固定する取付部材を設けたことを特徴とする手術用ドレープである。
第２の発明は、第１の発明において、前記基布は、基布より小片の補強シートを備え、前記取付部材が基布と補強シートの間に配置されることを特徴とする。
第３の発明は、第１または２の発明において、前記取付部材が、前記受水袋に設けられることを特徴とする。
第４の発明は、第１または２の発明において、前記取付部材が、前記基布に設けられることを特徴とする。
第５の発明は、第１ないし４のいずれかの発明において、前記取付部材は、バンド部材と、バンド部材に設けられた係合部材と、から構成されることを特徴とする。
第６の発明は、第１ないし５のいずれかの発明において、前記受水袋は、前記取付穴が設けられた補強部材を備えることを特徴とする。
第７の発明は、第１ないし６のいずれかの発明に係る手術用ドレープに用いる基布である。
第８の発明は、第１ないし６のいずれかの発明に係る手術用ドレープに用いる受水袋である。
A first invention is a surgical drape comprising a base cloth for covering a subject and a water receiving bag, wherein the base cloth is made of a washable material, and the water receiving bag can be attached to and detached from the base cloth. The surgical drape is provided with a fixing member to be fixed.
According to a second aspect, in the first aspect, the base fabric includes a reinforcing sheet that is smaller than the base fabric, and the attachment member is disposed between the base fabric and the reinforcing sheet.
According to a third invention, in the first or second invention, the attachment member is provided in the water receiving bag.
According to a fourth invention, in the first or second invention, the attachment member is provided on the base fabric.
According to a fifth invention, in any one of the first to fourth inventions, the attachment member includes a band member and an engagement member provided on the band member.
According to a sixth invention, in any one of the first to fifth inventions, the water-receiving bag includes a reinforcing member provided with the attachment hole.
A seventh invention is a base fabric used for the surgical drape according to any one of the first to sixth inventions.
An eighth invention is a water-receiving bag used for the surgical drape according to any one of the first to sixth inventions.
本発明によれば、取り付け容易性に優れ、且つ、衛生的な手術用ドレープの提供が可能となる。また、手術時に発生する医療廃棄物を大幅に削減することができる。 According to the present invention, it is possible to provide a drape for surgery that is excellent in attachment ease and hygienic. In addition, medical waste generated at the time of surgery can be greatly reduced.
本発明を実施するための最良の形態を、ＴＵＲ（transurethral resection）用の手術用ドレープ（以下、「ＴＵＲ用ドレープ」という。）の例で説明する。
ここで、図２は基布２に対して受水袋７を取り付けた構成を表す全体図であり、図３は基布２に取り付けられる受水袋７の構成を示す図である。
The best mode for carrying out the present invention will be described with an example of a surgical drape for TUR (transurethral resection) (hereinafter referred to as “TUR drape”).
Here, FIG. 2 is an overall view showing a configuration in which the water receiving bag 7 is attached to the base cloth 2, and FIG. 3 is a diagram showing a configuration of the water receiving bag 7 attached to the base cloth 2.
まず、ＴＵＲ用ドレープ１の全体構成について説明する。図２に示すように、最良の形態のＴＵＲ用ドレープ１は、患者の全身を覆い得る程度の大きさを有する基布２と、補強シート４とを主たる構成要素とする。基布２に設けられた基布開口部３と、補強シート４に設けられた穴５は患部（切開箇所）を露出させるためのものである。なお、図２で、基布開口部３を点線部で示しているのは、補強シート４の下の層に位置することを意味している。
また、基布２には基布に受水袋７を取り付けるための取付部材６Ａ〜６Ｃが設けられている。すなわち、図２では吸水補強部材４により覆われているが、吸水補強部材４をめくるとその下には受水袋７を取り付けるための取付部材６Ａ〜６Ｃがある（後述の図６参照）。
First, the overall configuration of the TUR drape 1 will be described. As shown in FIG. 2, the TUR drape 1 of the best mode includes a base fabric 2 having a size that can cover the whole body of a patient and a reinforcing sheet 4 as main components. The base cloth opening 3 provided in the base cloth 2 and the hole 5 provided in the reinforcing sheet 4 are for exposing the affected part (incision site). In FIG. 2, the base cloth opening 3 indicated by a dotted line means that it is located in a layer below the reinforcing sheet 4.
Further, the base fabric 2 is provided with mounting members 6A to 6C for mounting the water receiving bag 7 on the base fabric. That is, although it is covered with the water absorption reinforcement member 4 in FIG. 2, when the water absorption reinforcement member 4 is turned, there are attachment members 6A to 6C for attaching the water receiving bag 7 below (see FIG. 6 described later).
基布２は、洗濯が可能な綿や化繊等の布類で構成される。このように、本発明では、基布２を洗濯して繰り返し使用可能な素材で構成することにより、医療廃棄物を削減することを可能としている。なお、基布２に血液等が付着していることから、感染源とならないよう滅菌処理（例えば、８０℃の熱水による１０分間の熱水消毒工程）が施されて再利用がなされる。
基布２は、その表面に菌やウィルスに対するバリア性を奏する処理を施すのが好ましいく、また、縫製箇所に縫製穴が露出しないように縫製することが好ましい。
なお、従来の手術用ドレープが備えるような患者に固定するための粘着部材を、オプションとして取り付けるための部位を基布２に設けてもよい。
The base fabric 2 is made of cloth such as cotton and synthetic fiber that can be washed. Thus, in the present invention, it is possible to reduce medical waste by configuring the base fabric 2 with a material that can be used repeatedly after washing. In addition, since blood etc. have adhered to the base fabric 2, a sterilization process (for example, the hot water disinfection process for 10 minutes by 80 degreeC hot water) is performed so that it may not become an infection source, and reuse is made | formed.
The surface of the base fabric 2 is preferably subjected to a treatment that exhibits a barrier property against bacteria and viruses, and is preferably sewn so that a sewing hole is not exposed at a sewing location.
In addition, you may provide the site | part for attaching as an option the adhesive member for fixing to a patient which the conventional surgical drape is equipped with.
基布２には、略円形状の基布開口部３が形成されている。この基布開口部３の周辺部分を補強するための補強シート４が設けられている。補強シート４を、図５〜図７を参照しながら説明する。なお、図５〜図７における四角い枠は拡大部分を示すものであり、構成要素を示すものではない。
補強シート４には、患部の位置に略円形状の穴５が形成されており、この穴５は基布開口部３上に位置合わせされている。図１に示すように、指嚢（ゴムサック）のための開口部も別途設けてもよい。補強シート４の左右の側辺には一対のボタンが設けられたコードホルダー１５，１５が設けられている。
補強シート３の表面側は吸水性に富んだ素材により構成され、裏面側は防水性の富んだ材料により構成される。かかる構成により、患者への液体の付着が防止され、周囲の汚染、術者への感染等を防ぐことが可能となる。
補強シート４は、例えば、吸水不職布をネット状ポリエチレン（表面側）とポリエチレンフィルム（裏面側）とでサンドした三層構造とする。なお、必ずしも三層構造に限定されるものでなく、用途に応じて単層構造、二重構造、または四重構造以上の積層構造を採用することも可能である。
A substantially circular base cloth opening 3 is formed in the base cloth 2. A reinforcing sheet 4 for reinforcing the peripheral portion of the base cloth opening 3 is provided. The reinforcing sheet 4 will be described with reference to FIGS. In addition, the square frame in FIGS. 5-7 shows an enlarged part, and does not show a component.
In the reinforcing sheet 4, a substantially circular hole 5 is formed at the position of the affected part, and the hole 5 is aligned with the base cloth opening 3. As shown in FIG. 1, an opening for a finger sac (rubber sack) may also be provided separately. On the left and right sides of the reinforcing sheet 4, cord holders 15 and 15 each having a pair of buttons are provided.
The front side of the reinforcing sheet 3 is made of a material having a high water absorption, and the back side is made of a material having a high waterproof property. With such a configuration, it is possible to prevent the liquid from adhering to the patient, and to prevent surrounding contamination, infection to the operator, and the like.
The reinforcing sheet 4 has, for example, a three-layer structure in which a water-absorbing unemployed cloth is sanded with a net-like polyethylene (front side) and a polyethylene film (back side). Note that the structure is not necessarily limited to a three-layer structure, and a single-layer structure, a double structure, or a stacked structure having a quadruple structure or more can be employed depending on the application.
受水袋７は、手術時において基布開口部３および穴５から流出する血液、体液、生理食塩水等の液体や検体等の固体が床に溢れないようにするためのものである。本発明では、基布２と受水袋７と分離し、受水袋７のみをディスポーザブルとすることに特徴がある。
受水袋７は、図３および図４に示すように、袋状の受水シート９を主たる要素とし、受水袋シート９は、例えばポリエチレン、エチレン共重合体、ポリプロピレン、プロピレン共重合体などのオレフィン系重合体・共重合体やナイロンなどのポリアミド系重合体・共重合体などの公知の医療用素材により構成される。
受水袋シート９の上面９１と下面９２により受水開口部９３が構成され、受水開口部９３への流入物はコネクタ１２の手前に設けられたネット１０により、血液や生理食塩水等といった液体と検体等の固体に分離される。
The water-receiving bag 7 is intended to prevent liquids such as blood, body fluid, and physiological saline that flow out of the base cloth opening 3 and the hole 5 during operation and solids such as a specimen from overflowing the floor. The present invention is characterized in that the base cloth 2 and the water receiving bag 7 are separated and only the water receiving bag 7 is made disposable.
As shown in FIGS. 3 and 4, the water-receiving bag 7 includes a bag-shaped water-receiving sheet 9 as a main element, and the water-receiving bag sheet 9 includes, for example, polyethylene, an ethylene copolymer, polypropylene, a propylene copolymer, and the like. It is comprised with well-known medical materials, such as polyamide-type polymers and copolymers, such as olefin polymer and copolymer of nylon, and nylon.
A water receiving opening 93 is constituted by the upper surface 91 and the lower surface 92 of the water receiving bag sheet 9, and the inflow to the water receiving opening 93 is made into blood, physiological saline, etc. by the net 10 provided in front of the connector 12. It is separated into a liquid and a solid such as a specimen.
受水袋シートの上面９１は、その上端辺がループ状になっており、ループ内を紐部材１１が挿通されている。紐部材１１は、例えばゴム紐などの公知の医療用素材により構成される。紐部材１１の構成は、手術目的に応じて適宜変形可能であり、例えば、紐部材１１に代えて患者の足に掛けて使用するためのゴム輪を設けてもよい。
また、受水袋シートの上面９１の下端部近傍には、コネクタ１２が設けられており、液体の排出手段であるホース１３が接続されている。なお、コネクタ１２は必須の構成要素ではなく、生理食塩水を大量に使用しない場合（例えば、眼科用）には設けられないこともある。
The upper surface 91 of the water-receiving bag sheet has a loop shape at the upper end, and the string member 11 is inserted through the loop. The string member 11 is made of a known medical material such as a rubber string. The configuration of the string member 11 can be appropriately modified according to the purpose of surgery. For example, instead of the string member 11, a rubber ring for use on the patient's foot may be provided.
Moreover, the connector 12 is provided in the vicinity of the lower end part of the upper surface 91 of a water-receiving bag sheet | seat, and the hose 13 which is a liquid discharge means is connected. The connector 12 is not an essential component and may not be provided when a large amount of physiological saline is not used (for example, for ophthalmology).
受水袋シートの下面９２の上端部は肉厚の補強部材１４により補強されている。補強部材１４には、取付穴８Ａ〜８Ｆが形成されている。ここで、図３に記載の受水袋７は、取付位置を調整可能とすべく、取付穴を６つ設ける構成を開示しているが、８Ａ〜８Ｃのみ設ける構成としてもよいことは言うまでもない。 The upper end portion of the lower surface 92 of the water-receiving bag sheet is reinforced by the thick reinforcing member 14. Mounting holes 8A to 8F are formed in the reinforcing member 14. Here, the water receiving bag 7 shown in FIG. 3 discloses a configuration in which six mounting holes are provided so that the mounting position can be adjusted, but it goes without saying that only 8A to 8C may be provided. .
ところで、受水袋７は、コンパクトに折りたたんだ形で滅菌密封包装されて納品されるのが通常である。滅菌は、例えば、袋の内部に物品を収納した状態で、袋を真空容器の中に入れて減圧した後、エチレンオキシド等の有機気化薬品を容器内に充満させたり、袋に所要線量の電子線や放射線を照射することで行われる。本発明では、受水袋７のみを滅菌密封包装すればよい（基布２は包装不要である）ため、包装コストも削減することが可能である。 By the way, the water-receiving bag 7 is usually delivered in a sterilized hermetically sealed form in a compact folded form. For sterilization, for example, with the article in the bag, the bag is placed in a vacuum container and decompressed, and then the container is filled with an organic vaporizing chemical such as ethylene oxide, or the electron beam of the required dose is filled in the bag. Or by irradiating with radiation. In the present invention, only the water-receiving bag 7 needs to be sterilized and hermetically packaged (the base fabric 2 does not require packaging), so the packaging cost can be reduced.
受水袋７を基布２に取り付けるにあたっては、その取り付け態様が問題となる。特許文献３および４に開示されるように、粘着テープで受水袋を取り付けることが想起されるが、粘着テープによる取り付けでは、次の問題がある。
（ア）繰り返しの利用により粘着力が低下する。
（イ）粘着テープに塵や埃が付着し、不衛生である。
（ウ）受水袋の重量に耐えられない。
（エ）定位置への取り付けが困難である。
When attaching the water-receiving bag 7 to the base fabric 2, the attachment mode becomes a problem. As disclosed in Patent Documents 3 and 4, it is recalled that the water-receiving bag is attached with an adhesive tape, but the attachment with the adhesive tape has the following problems.
(A) Adhesive strength decreases due to repeated use.
(B) Dust or dust adheres to the adhesive tape and is unsanitary.
(C) It cannot withstand the weight of the water-receiving bag.
(D) It is difficult to install in a fixed position.
上記の（ウ）について補足の説明をする。
受水袋７の重量は軽く、生理食塩水等を大量に用いる場合もホース１３を接続して外部に排出するため、通常は重量の問題は生じない。しかし、受水袋７は、その内部にネット１０が設けられており、そこに検体が収容される構造となっている。そのため、手術中、検体等によりネット１０が目詰まりすると、受水袋７の中には生理食塩水等が貯留され重量の問題が生じる。受水袋７の大きさによりその重さは異なるが、例えば、５００ｇ〜１ｋｇの液体が溜まった場合にも、受水袋７が落下しない取り付け強度でなくてはならない。したがって、粘着テープ等により取り付ける場合には、充分な面積の粘着テープにより受水袋７を取り付けなくてはならない。
A supplementary explanation will be given for (c) above.
The water-receiving bag 7 is light in weight, and even when a large amount of physiological saline or the like is used, the hose 13 is connected and discharged to the outside. However, the water receiving bag 7 is provided with a net 10 inside thereof, and has a structure in which a sample is accommodated. Therefore, when the net 10 is clogged with a specimen or the like during the operation, physiological saline or the like is stored in the water receiving bag 7 and a problem of weight arises. Although the weight varies depending on the size of the water-receiving bag 7, for example, even when 500 g to 1 kg of liquid accumulates, the water-receiving bag 7 must have a mounting strength that does not drop. Therefore, when attaching with an adhesive tape etc., the water-receiving bag 7 must be attached with the adhesive tape of sufficient area.
上記の（エ）について補足の説明をする。
粘着テープにより受水袋７を取り付ける場合、上述したように充分な面積を設けることが必要となるが、そうすると粘着テープの取り付けは困難なものとなる。すなわち、粘着テープの粘着力が増すとともに、粘着テープを誤った位置に粘着した場合の修復が困難となることは容易に想像が付くであろう。定位置への取り付けを前提とした場合、粘着テープは適していない。また、定位置からずれて取り付けた場合には、落下のおそれさえある。
A supplementary explanation will be given for (d) above.
When the water-receiving bag 7 is attached with an adhesive tape, it is necessary to provide a sufficient area as described above, but this makes it difficult to attach the adhesive tape. That is, it can be easily imagined that the adhesive force of the adhesive tape increases and that it becomes difficult to repair when the adhesive tape is adhered to the wrong position. Adhesive tape is not suitable if it is assumed to be installed in a fixed position. In addition, if it is mounted off the fixed position, it may even fall.
以上を踏まえ、最良の形態の本発明では、基布２に受水袋７を取り付けるために、バンド部材６１とボタン６２とからなる取付部材６Ａ〜６Ｃを用いている。ボタンによる取付は定位置への取り付けに適しており、また、手術者がグローブをした状態で取り付ける際にも容易である。バンド部材６１ボタン６２を複数設けてもよく、その場合、複数の定位置への取り付けも可能となる。 Based on the above, in the present invention in the best mode, the attachment members 6 </ b> A to 6 </ b> C including the band member 61 and the button 62 are used to attach the water receiving bag 7 to the base fabric 2. Attachment with a button is suitable for installation in a fixed position, and is easy when the operator attaches with a glove. A plurality of band member 61 buttons 62 may be provided, in which case attachment to a plurality of fixed positions is also possible.
取付部材の構成は上記に限定されず、目的・用途に応じて種々の変更が可能であるが、その概要を類型化すると次のとおりである。
（一）基布にフックや面ファスナー等の係合部材が設けられたバンド部材を設け、受水袋に設けられた挿通穴にバンド部材を挿入して固定する態様（図６の変形例）。
（二）基布に受水袋を挟持する留め具が設けられたバンド部材を設け、受水袋を留め具で固定する態様（受水袋に留め具で穴を開けて固定してもよい）。
（三）受水袋にボタン、フック、面ファスナー等の係合部材が設けられたバンド部材を設け、基布に設けられた係合部材と係合して固定する態様。
（四）基布に係合部材を設け、受水袋に設けた又は係合部材と直接固定する態様（バンド部材を用いない態様）。
以上では、取付部材の構成例の概要を説明したが、いずれにせよ、重量に耐えられ、取り付けが容易であり、且つ、衛生的な部材であれば任意の部材により構成することが可能である。
The configuration of the mounting member is not limited to the above, and various changes can be made according to the purpose and application, but the outline is categorized as follows.
(1) A mode in which a band member provided with an engagement member such as a hook or a hook-and-loop fastener is provided on the base fabric, and the band member is inserted and fixed in an insertion hole provided in the water receiving bag (modified example of FIG. 6). .
(2) A mode in which a band member provided with a fastener for holding the water-receiving bag is provided on the base fabric, and the water-receiving bag is fixed by the fastener (a hole may be formed in the water-receiving bag and fixed by the fastener) ).
(3) A mode in which a band member provided with engagement members such as buttons, hooks, hook-and-loop fasteners, etc. is provided on the water-receiving bag, and is engaged and fixed with an engagement member provided on the base fabric.
(4) A mode in which an engagement member is provided on the base fabric and the water receiving bag is provided or directly fixed to the engagement member (a mode in which no band member is used).
In the above, the outline of the configuration example of the mounting member has been described, but in any case, the mounting member can withstand weight, can be easily mounted, and can be configured by any member as long as it is a sanitary member. .
受水袋７を基布２へ取り付ける際の手順について説明する。
受水袋７は、取付部材６Ａ〜６Ｃをそれぞれ取付穴８Ａ〜８Ｃまたは８Ｄ〜８Ｆに通して基布２に取り付けられる（図６参照）。すなわち、補強シート４をめくり、基布２に設けられている取付部材６Ａ〜６Ｃをそれぞれ取付穴８Ａ〜８Ｃに挿入し、バンド部材６１の一端に設けられ雌ボタンと他端に設けられた雄ボタンを咬合して固定する。
取付部材６Ａ〜６Ｃによる取り付け完了後、めくり上げられていた補強シート４を元に戻し、取付部材６Ａ〜６Ｃが隠れるようにする（図７参照）。こうすることで、術中、取付部材６Ａ〜６Ｃが外部に露出しないため、術衣や医療器具等が取付部材６Ａ〜６Ｃに引っかかることを防ぐことができる。
受水袋７は、紐部材１１により受水開口部９３が開放された状態とされ、受水開口部９３に生理食塩水を流しながら手術が行われる（図４参照）。
A procedure for attaching the water-receiving bag 7 to the base fabric 2 will be described.
The water-receiving bag 7 is attached to the base fabric 2 through the attachment members 6A to 6C through the attachment holes 8A to 8C or 8D to 8F, respectively (see FIG. 6). That is, the reinforcing sheet 4 is turned over, and the attachment members 6A to 6C provided on the base fabric 2 are inserted into the attachment holes 8A to 8C, respectively, and a female button provided at one end of the band member 61 and a male provided at the other end. Occlude and fix the button.
After completion of the attachment by the attachment members 6A to 6C, the reinforcing sheet 4 that has been turned up is returned to its original position so that the attachment members 6A to 6C are hidden (see FIG. 7). By doing so, since the attachment members 6A to 6C are not exposed to the outside during the operation, it is possible to prevent surgical clothes, medical instruments, and the like from being caught by the attachment members 6A to 6C.
The water-receiving bag 7 is in a state in which the water-receiving opening 93 is opened by the string member 11, and an operation is performed while flowing physiological saline through the water-receiving opening 93 (see FIG. 4).
以下では、本発明の詳細を実施例により説明するが、本発明は何ら実施例に限定されるものではない。 Hereinafter, details of the present invention will be described by way of examples, but the present invention is not limited to the examples.
本実施例の手術用ドレープは、図２にと同様の構成のＴＵＲ用ドレープであり、患者の全身を覆うための基布２と、補強シート４と、受水袋７とから構成されるが、図２とは図１と同様に補強シート４に穴５に加え指嚢穴が設けられている点でのみ相違する。 The surgical drape of the present embodiment is a TUR drape having the same configuration as that shown in FIG. 2, and includes a base fabric 2 for covering the whole body of the patient, a reinforcing sheet 4, and a water receiving bag 7. 2 differs from FIG. 2 only in that a finger sac hole is provided in the reinforcing sheet 4 in addition to the hole 5 as in FIG.
基布２は表面に撥水処理が施され、バリア性能の高い撥水化繊素材（ポリエステル１００％）であり、上端辺の横幅が約２００ｃｍ、上端辺から下端辺までの長さは約２５０ｃｍである。基布２の中央部には、直径約５ｃｍの基布開口部３とその下方に位置する直径約４ｃｍの指嚢穴とが設けられている。
基布開口部３の上層には、吸水性を持たせた布（ポリエステル１００％）からなる補強シート４が設けられている。補強シート４は、横幅が約４０ｃｍ、縦幅が約５０ｃｍであり、直径５ｃｍの穴５と、直径約４ｃｍの指嚢穴とが設けられている。補強シート４は、それの有する穴５および指嚢穴が、基布２に設けられた開口部３および指嚢穴とそれぞれ連通する位置に配置される。本実施例では、基布２の上端辺と補強シートの上端辺まで距離は約１１５ｃｍとなった。
The base fabric 2 is a water-repellent fiber material (100% polyester) with a water barrier treatment and a high barrier performance. The width of the upper end side is about 200 cm, and the length from the upper end side to the lower end side is about 250 cm. is there. At the center of the base fabric 2, a base fabric opening 3 having a diameter of about 5 cm and a finger sac hole having a diameter of about 4 cm are provided below.
On the upper layer of the base cloth opening 3, a reinforcing sheet 4 made of a water-absorbing cloth (100% polyester) is provided. The reinforcing sheet 4 has a width of about 40 cm and a length of about 50 cm, and is provided with a hole 5 having a diameter of 5 cm and a finger sac hole having a diameter of about 4 cm. The reinforcing sheet 4 is disposed at a position where the hole 5 and the finger sac hole thereof communicate with the opening 3 and the finger sac hole provided in the base fabric 2, respectively. In this example, the distance from the upper edge of the base fabric 2 to the upper edge of the reinforcing sheet was about 115 cm.
基布２は、受水袋７をとりつけるための取付部材６Ａ〜６Ｃを備える。取付部材６Ａ〜６Ｃは３組のバンド部材６１Ａ〜６１Ｃおよびボタン６２Ａ〜６２Ｃとから構成される。取付部材６Ａ〜６Ｃは、手術時には補強シートによって覆われて隠れるようになっている。バンド部材６１Ａ〜６１Ｃを受水袋７に設けられた取付穴８Ａ〜８Ｃに通し、ボタン６２Ａ〜６２Ｃを係止することで受水袋７を基布２に取り付けることができる。 The base fabric 2 includes attachment members 6 </ b> A to 6 </ b> C for attaching the water receiving bag 7. The attachment members 6A to 6C are composed of three sets of band members 61A to 61C and buttons 62A to 62C. The attachment members 6A to 6C are covered with a reinforcing sheet and hidden during the operation. The water receiving bag 7 can be attached to the base fabric 2 by passing the band members 61A to 61C through the mounting holes 8A to 8C provided in the water receiving bag 7 and locking the buttons 62A to 62C.
受水袋７は、受水袋シート９と、その内部に設けられたネット１０と、生理食塩水等の液体を外部に流出させるためのホースを取り付けるためのコネクタ１２とを備える。受水袋シート９には、長さ約１５０ｃｍの一対の紐部材１１が設けられている。 The water-receiving bag 7 includes a water-receiving bag sheet 9, a net 10 provided therein, and a connector 12 for attaching a hose for allowing a liquid such as physiological saline to flow out. The water-receiving bag sheet 9 is provided with a pair of string members 11 having a length of about 150 cm.
以上に述べたとおり、本実施例の手術用ドレープ１は、受水袋７が基布２に着脱自在であり、かつ、基布２には洗濯可能な素材を用いていることから、受水袋７のみを医療廃棄物として処分すればよい。そのため、手術用ドレープ全体を処分する際には数百円単位でかかっていた処理コストを数十円単位に抑えることが可能となる。
また、手術時には取付部材６Ａ〜６Ｃが補強シート４で覆われるため、医療器具や術衣等が取付部材に引っかかることを防ぐことができ、安全な手術環境を提供することができる。
As described above, in the surgical drape 1 of this embodiment, the water receiving bag 7 is detachable from the base cloth 2 and the base cloth 2 is made of a washable material. Only the bag 7 may be disposed of as medical waste. For this reason, when the entire surgical drape is disposed of, it is possible to reduce the processing cost, which has been in the unit of several hundred yen, to the unit of several tens of yen.
Further, since the attachment members 6A to 6C are covered with the reinforcing sheet 4 at the time of surgery, it is possible to prevent a medical instrument, a surgical garment, or the like from being caught by the attachment member, and provide a safe surgical environment.
本発明は、受水袋を取り付け可能な全ての手術用ドレープに適用することができ、例えば、脳外科用（Ｕ型含む）、肩関節鏡半座位用、眼科用、婦人科用、牽引・ＣＨＳ用、経皮的腎結石破砕術用、整形外科用のドレープに適用可能であるが、特に容量が大きい受水袋（例えば、容積が５００ｃｍ３以上の受水袋）が必要とされる用途に好適である。 The present invention can be applied to all surgical drapes to which a water-receiving bag can be attached. For example, for brain surgery (including U-type), shoulder arthroscopic half-sitting, ophthalmic, gynecological, traction / CHS It can be applied to drapes for use in percutaneous, percutaneous kidney stone crushing, and orthopedic surgery, but it is particularly suitable for applications where a large-capacity water-receiving bag (for example, a water-receiving bag with a volume of 500 cm 3 or more) is required. Is preferred.
１ 手術用ドレープ
２ 基布
３ 基布開口部
４ 補強シート
５ 開口部
６Ａ〜６Ｃ 取付部材
７ 受水袋
８Ａ〜８Ｆ 取付穴
９ 受水袋シート
１０ ネット
１１ 紐部材
１２ コネクタ
１３ ホース
１４ 補強部材
１５ コードホルダー
６１Ａ〜６１Ｃ バンド部材
６２Ａ〜６２Ｃ ボタン
９１ 受水袋シートの上面
９２ 受水袋シートの下面
９３ 受水開口部
DESCRIPTION OF SYMBOLS 1 Surgical drape 2 Base cloth 3 Base cloth opening part 4 Reinforcement sheet 5 Opening part 6A-6C Mounting member 7 Water receiving bag 8A-8F Mounting hole 9 Water receiving bag sheet 10 Net 11 String member 12 Connector 13 Hose 14 Reinforcing member 15 Cord holder 61A-61C Band member 62A-62C Button 91 Upper surface of water-receiving bag sheet 92 Lower surface of water-receiving bag sheet 93 Water-receiving opening
Claims (5)
基布を洗濯可能な素材で構成し、
基布に受水袋を繰り返して着脱自在に固定することが可能な取付部材を設けた手術用ドレープであって、
前記取付部材が、バンド部材と、バンド部材に設けられた係合部材と、を含んで構成され、
前記受水袋の上端部が、基布に固定され、かつ、基布と補強シートの間に配置されて補強シートに覆われることを特徴とする手術用ドレープ。 A base fabric having an opening for covering the operator, a reinforcing sheet for reinforcing the peripheral portion of the opening, and a water-receiving bag,
The base fabric is made of washable materials,
A surgical drape provided with an attachment member capable of detachably fixing the water-receiving bag to the base fabric,
The mounting member includes a band member and an engagement member provided on the band member,
A surgical drape, wherein an upper end portion of the water-receiving bag is fixed to a base cloth and is disposed between the base cloth and the reinforcing sheet and covered with the reinforcing sheet.
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| JP2021074274A (en) * | 2019-11-08 | 2021-05-20 | ナガイレーベン株式会社 | Surgical drape |
| KR102408064B1 (en) * | 2020-04-03 | 2022-06-10 | 전북대학교산학협력단 | Operation drape for delivery |
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| US5618278A (en) * | 1994-07-11 | 1997-04-08 | Minnesota Mining And Manufacturing Company | Surgical fluid collection pouch |
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